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Oral squamous cell carcinoma and a clinically negative neck: The value of follow-up

✍ Scribed by Bart M. Wensing; Matthias A. W. Merkx; Paul F. M. Krabbe; Henri A. M. Marres; Frank J. A. Van den Hoogen

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
171 KB
Volume
33
Category
Article
ISSN
1043-3074

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✦ Synopsis

Abstract

Background

In squamous cell carcinoma of the oral cavity (SCCOC), regular follow‐up comprises 5 years of prescheduled visits, irrespective of tumor stage/classification and/or treatment. We analyzed our standard treatment and follow‐up protocol in patients with a preoperative clinically negative neck (cN0) in SCCOC.

Methods

This is a retrospective chart analysis. Inventarization of treatment, occult metastatic spread, and follow‐up were performed.

Results

In all, 197 patients were included. The occult metastatic rate was 24%. Eighty‐three percent of recurrent disease presented within 2 years. Fifty‐three percent of the patients with recurrent disease visited their physician outside prescheduled control visits.

Conclusions

Ultrasound‐guided fine‐needle aspiration cytology currently is 1 of the most reliable staging techniques in cN0 SCCOC. Regular follow‐up could perhaps be limited from 5 to 2 years of prescheduled follow‐up visits. © 2010 Wiley Periodicals, Inc. Head Neck, 2010

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